Nurses spend more time with patients than most other types of providers and have unique insight into patient care and the the healthcare system.

Nursing Yet Again the Most Trusted Profession. So What?

By Shawn Kennedy, MA, RN, interim editor-in-chief

I was catching up on my reading over the weekend and came across a press release issued December 9 by the ANA (American Nurses Association). It noted that “[f]or the eighth consecutive year, nurses have been voted the most trusted profession in America according to Gallup’s annual survey of professions for their honesty and ethical standards. Eighty-three percent of Americans believe nurses’ honesty and ethical standards are either ‘high’ or ‘very high.'”

Laudable for sure, but I keep wondering: does this matter to anyone but us? In the past eight years, has this designation helped nurses get to the policy table? Has it made key decision-makers realize that in addition to being trustworthy, nurses are also smart, skilled professionals who can be the key to cost-effective, quality care?

It’s really amazing (in an appalling sort of way): the groups among those with the lowest trust ratings—politicians and lawyers—dominate when it comes to making key decisions about health care (and about everything, actually). And we wonder why things are the way they are?

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Required Reading: Nurses as Champions of Patient Safety

Photo from otisarchives4, via Flickr

By Diana J. Mason, PhD, RN, FAAN, editor-in-chief emeritus of AJN. Mason is a member of the National Advisory Committee of Kaiser Health News.

I was delighted to see Kaiser Health News publish a superb commentary by nurse researcher Mary Naylor and health economist Mark Pauly on why nurses are the key to patient safety and quality, the barriers that interfere with nurses being these sentinels, and what can be done to address these barriers. It should be required reading by all policymakers, CEOs of health care organizations, and trustees.

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2018-03-13T10:44:44-04:00December 11th, 2009|career, nursing perspective, nursing research|1 Comment

Secrets to Staying Safe and Sane on the Night Shift

Shawn Kennedy, MA, RN, interim editor-in-chief

I recently sent my sister Jean, who works as a night nurse, an article called “Six Ways to Make Working the Night Shift Less Hazardous to Your Health.” The article noted recent research suggesting that shift work could increase your risk of everything from depression to obesity to cardiovascular disease. It also made a few simple suggestions: be consistent, nap before you work, don’t use caffeine (!!!), don’t take melatonin, change your lights, and eat a healthful diet. Here’s what my sister had to say about the article:

Yes, I do agree with the article. I am a night nurse and I always feel like I can’t get enough sleep. The days  I am off I tend to sleep too much. I have also suffered from depression and am on Cymbalta. The best way I found to cope is to try to maintain a “night” routine even when I am off. I go to bed at 2 am or 3 am and sleep until 11 am.  I also do not eat a lot on nights. At  work, I try to eat by 9 pm, and then if I am hungry I will have cereal or fruit. The nights I am off, we eat dinner at 7 pm. My house is quiet during the day as my children are older. If it is the weekend I sometimes wear ear plugs. I keep my bedroom dark. I sometimes take an Ambien to sleep if I work back to back. […]

New National Nurses Union Forms — But What’s It Mean to You?

By Peggy McDaniel, BSN, RN

Yesterday a new and powerful union was formed. The National Nurses United brings over 150,000 nurses together by combining the California Nurses Association/National Nurses Organizing Committee with the Massachusetts Nursing Association and some members of the United American Nurses.  The new “superunion” intends to focus both on influencing health care reform and on improving quality of care through such efforts as extending California’s patient ratio law into other states.

I have never worked in a union-supported hospital, nor have I ever belonged to a union. My father was an electrical engineer and although he was a union member, he always talked about the “union guys” who worked as little as possible. I remember his frustration at members who took advantage of the positive conditions promoted by unions. When I was a newly employed nursing graduate, one of my friends was a card-carrying pipefitter. He bragged about not doing any work for days on end because there were no laborers around to carry his materials! 

As a hardworking staff nurse, I was angered by his complacency. I couldn’t imagine not clearing away a patient tray if the nurse’s aide hadn’t had time. I approached my nursing role as a team member focused on taking care of the patients—sometimes to my own detriment, since I was one of “those” nurses who often skipped breaks to complete tasks or charting. That said, I have seen the good that unions have done for nursing, especially around working conditions and benefits.

Given the current push to reform health care, […]

ANA Chart Compares Key Nursing Provisions in House and Senate Bills

By Judith Leavitt, MEd, RN, FAAN

There’s a tremendous amount of information available about the different congressional proposals on health reform. But it’s difficult to know how the proposed legislation might affect nurses and the profession. The American Nurses Association has just released an excellent chart offering side-by-side comparison of key provisions related to nursing in the two current bills, the House bill (H.R. 3962) and the Senate bill (H.R. 3590). These provisions include:

  • increased financial support for nursing recruitment and advanced education
  • increased funding for graduate education for nursing faculty
  • increased funding for education for students who will practice in underserved areas
  • establishment of a Public Health Workforce Corps
  • increased Medicare reimbursement rates for advanced practice nurses, including nurse–midwives
  • pilot programs to provide reimbursement under Medicare for nurse practitioners to create or lead “medical homes”
  • increased reimbursement to school-based health clinics under Medicaid

There’s much more to be gleaned here, and the chart format makes scanning for particular points of interest easy. Have a look!

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